How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier TC · Technical part Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | TC · Technical part | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,174.90 | $1,949.84 | $1,949.84 |
BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,089.30 | Facility | None | $812.83 | $1,412.54 | $2,089.30 |
BCBS Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,041.74 Typical High $2,187.76 | Professional | None (both parts) | $1,737.80 | $2,041.74 | $2,187.76 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | 26 · Professional part | $162.18 | $190.55 | $199.53 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,862.09 Typical High $1,995.26 | Professional | TC · Technical part | $1,584.89 | $1,862.09 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,548.82 Typical High $1,819.70 | Facility | None | $741.31 | $1,548.82 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,548.82 Typical High $1,819.70 | Professional | None (both parts) | $1,258.93 | $1,548.82 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $120.23 | $147.91 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,412.54 Typical High $1,659.59 | Professional | TC · Technical part | $1,148.15 | $1,412.54 | $1,659.59 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $1,949.84 Typical High $2,818.38 | Facility | None | $302.00 | $1,949.84 | $2,818.38 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,949.84 Typical High $2,570.40 | Professional | None (both parts) | $1,230.27 | $1,949.84 | $2,570.40 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $158.49 | $186.21 | $186.21 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,698.24 Typical High $1,778.28 | Professional | TC · Technical part | $1,122.02 | $1,698.24 | $1,778.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,659.59 | $2,187.76 | $2,187.76 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $933.25 Median $2,187.76 Typical High $2,570.40 | Professional | None (both parts) | $933.25 | $2,187.76 | $2,570.40 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,047.13 Median $1,621.81 Typical High $2,041.74 | Facility | None | $1,047.13 | $1,621.81 | $2,041.74 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,187.76 Typical High $2,511.89 | Professional | None (both parts) | $1,995.26 | $2,187.76 | $2,511.89 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,698.24 | Facility | None | $977.24 | $1,000.00 | $1,698.24 |
Select Health Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None (both parts) | $977.24 | $977.24 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,348.96 Typical High $2,089.30 | Professional | None (both parts) | $1,148.15 | $1,348.96 | $2,089.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $128.82 Typical High $208.93 | Professional | 26 · Professional part | $104.71 | $128.82 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,202.26 Typical High $1,862.09 | Professional | TC · Technical part | $1,047.13 | $1,202.26 | $1,862.09 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,348.96 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,348.96 | $1,659.59 |
Where Idaho sits
The same service costs 5.5 times more in Alaska than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Idaho· 9th of 51
$1,820
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.